耳鸣致残量表中文版的研译与临床应用

Translation and application of tinnitus handicap inventory in Chinese version

目的:研译耳鸣致残量表(tinnitus handicap inventory,THI),通过临床应用验证其信度、效度、反应度及临床意义。方法:以耳鸣为第一主诉或仅次于听力损失为第二主诉的患者199名为研究对象,调查内容包括一般情况调查表和THI。计算不同性别、年龄、文化程度、病程及听力损失与THI得分的相关性。结果:THI中文版的分半信度为0.88,Cronbach’sα系数为0.90,重测信度为0.98。THI得分能反映治疗前后生活质量的变化。与相对差耳的听力损失程度有显著相关。THI得分在不同性别,年龄,文化程度,病程之间差异无统计学意义。结论:THI中文版信度,区分效度,反应度良好,临床使用THI总分有较大价值。

Objective：To translate tinnitus handicap inventory（THI） into Chinese and evaluate its quality through clinical use and analysis. Methods： 199 patients reporting tinnitus as their primary compliant or secondary to hearing loss were sampled as study participants. They were interviewed with THI Chinese version by investigators and accepted ear and hearing assessment. Data were analysed. Results：The split-half reliability was 0.88,test-retest reliability was 0.98, and Cronbach＇s ct was 0.90. These results proved the THI Chinese version had good reliability. The THI scores had significant difference in the subjects between outpatients and inpatients. There was significant improvement after treatment in inpatients group. The THI scores were highly correlated with the hearing loss level of the worse ear. Conclusion：THI Chinese version has good reliability and responsiveness. Total score of THI was strong recommended in the research and clinical practice.